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Concern

Sports Injuries — Physiotherapy in London

We assess and rehabilitate acute and overuse sports injuries with graded loading and objective return-to-sport criteria, so you return to your sport properly rather than just out of pain.

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Sports Injuries

The concern

Sports injuries divide broadly into acute injuries from a single event — an ankle sprain, a hamstring or calf strain, a ligament sprain — and overuse injuries where training load has outpaced the tissue's capacity, such as tendinopathies and bone stress. At Physio and Performance, assessment begins with an accurate diagnosis and an honest picture of what the tissue can currently tolerate. Rehabilitation is built around progressive, graded loading: we rebuild strength, control and tolerance step by step, then test against objective return-to-sport criteria — restored strength, limb-to-limb symmetry and sport-specific function — rather than discharging on how the injury feels. This staged, criteria-based approach reflects current physiotherapy best practice and BJSM return-to-sport consensus, which identify rushing this process as a recognised driver of re-injury. This is where our performance focus matters: Sam Harvey brings an elite-sport background and S&C training, and VALD performance and strength testing lets us measure that readiness objectively. We consider your work, training and lifestyle throughout. Self-referral; no GP letter needed, and a free 15-minute consultation call is available.

What drives it

  • Acute mechanical overload — a single high-force event such as a sprint, jump landing, change of direction, awkward fall, or contact
  • Cumulative overuse — training volume or intensity rising faster than the tissue can adapt, driving tendinopathy and bone-stress injuries
  • Returning to sport too soon after a previous injury, leaving residual weakness or altered movement
  • Strength, mobility, or control deficits up the kinetic chain (commonly hip, gluteal, calf, or trunk)
  • Sudden change in footwear, playing surface, or training pattern without an adaptation period
  • Inadequate warm-up, recovery, or sleep, which lower the tissue's tolerance to load

Common
questions

Should I rest a sports injury or keep training?

Complete rest is rarely the right answer. Modified training — reducing intensity, swapping high-impact for low-impact work and loading around the injured tissue — usually supports recovery better and preserves fitness. Your physiotherapist will tell you what to keep doing, what to modify and what to pause while the tissue settles and rebuilds.

How do you decide when I am ready to return to sport?

We test against objective return-to-sport criteria rather than discharging on how it feels. That means restored strength and limb-to-limb symmetry, good movement control, and the ability to handle sport-specific demands — sprinting, cutting, jumping or single-leg load — without symptoms. Skipping these stages is a recognised driver of re-injury.

How long until I can return to my sport?

It depends on the injury. Mild strains and overuse problems often allow modified training within a week and fuller return over several weeks; tendon and bone-stress injuries typically need longer phases of progressive loading. We set a provisional timeline at your first session and update it at each reassessment, based on objective markers.

Do I need a scan before starting physiotherapy?

For most sports injuries, no. Clinical assessment usually guides management of soft-tissue injuries well, and routine scans often show incidental findings that complicate decisions without changing treatment. Imaging is appropriate after significant trauma, when red-flag signs are present, or when symptoms do not follow the expected recovery course.

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Physio and Performance • 111 Charing Cross Road, Soho, London WC2H 0DT

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Appointments typically available within 1–2 weeks